Alejandro M. Arredondo O.D. Opt. Corp.

Primary specialty

OptometristTaxonomy code 152W00000X

License

8658T Issued in CA

Legal business name

ALEJANDRO M. ARREDONDO O.D. OPT. CORP.

Practice address

2675 Saturn Ave
Huntington Park, CA 90255-4142

Phone

(323) 581-0117

Fax

(323) 562-4445

NPI assigned

Mar 22, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Alejandro Miguel Arredondo, O.D.

Title

President

Phone

(323) 583-7900

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473724800000",
    "number": "1053437640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4349 SLAUSON AVE",
            "address_2": "SUITE A",
            "city": "MAYWOOD",
            "state": "CA",
            "postal_code": "902702837",
            "telephone_number": "323-581-0117",
            "fax_number": "323-562-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 SATURN AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554142",
            "telephone_number": "323-581-0117",
            "fax_number": "323-562-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEJANDRO M. ARREDONDO O.D. OPT. CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2016-09-13",
        "status": "A",
        "authorized_official_last_name": "ARREDONDO",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_middle_name": "MIGUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-583-7900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8658T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0086581",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0086582",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Providers in Huntington Park, CA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.